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Updated: Jul 4, 2026
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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Technical tricks to facilitate totally endoscopic major pulmonary resections
1Thoracic Department, Institut Mutualiste Montsouris, Paris, France. dominique.gossot@imm.fr
The Annals of Thoracic Surgery
|June 25, 2008
Summary
Totally endoscopic lobectomy offers a minimally invasive approach for early-stage lung cancer. This technique avoids larger incisions, using only endoscopic instruments for improved patient outcomes in video-assisted thoracoscopic surgery (VATS).
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Procedures
Background:
- Video-assisted thoracoscopic surgery (VATS) lobectomy is increasingly accepted for stage I lung cancer.
- Current VATS often involves a utility incision or mini-thoracotomy for instrument insertion.
- A fully endoscopic approach offers potential advantages in minimally invasive thoracic procedures.
Purpose of the Study:
- To present technical details for a totally endoscopic lobectomy approach.
- To share preliminary experience with this advanced minimally invasive technique.
- To highlight key factors for successful endoscopic thoracic surgery.
Main Methods:
- Utilizing a totally endoscopic approach for lobectomy.
- Employing only endoscopic instruments and video display.
- Performing 81 cases to gather preliminary experience.
Main Results:
- Demonstrated feasibility of a totally endoscopic lobectomy.
- Identified critical technical aspects for successful execution.
- Gained preliminary experience in 81 cases.
Conclusions:
- A totally endoscopic approach is a viable alternative for lobectomy.
- Specific technical considerations are crucial for success.
- This method represents an advancement in minimally invasive lung cancer surgery.
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